tag:blogger.com,1999:blog-6173095375385680490.post1050411343647837023..comments2023-08-04T01:58:44.111-07:00Comments on End of Life - thoughts from an MD: Excessive Use of "Health Care"Jim deMaine, MDhttp://www.blogger.com/profile/15305598245850297381noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6173095375385680490.post-22584276375887782142013-10-21T05:40:13.396-07:002013-10-21T05:40:13.396-07:00Ask almost any doctor or nurse, and they can tell ... Ask almost any doctor or nurse, and they can tell stories about mess-ups in health care. Sometimes, it's under utilization, sometimes the wrong treatment or test is done, and sometimes it's inappropriate overuse of tests or treatments. <a href="http://fngnutrition.ca" rel="nofollow">Nutritionist Toronto</a><br />albina N murohttps://www.blogger.com/profile/08139646674252673476noreply@blogger.comtag:blogger.com,1999:blog-6173095375385680490.post-64321902780719791602012-05-11T00:11:57.744-07:002012-05-11T00:11:57.744-07:00This is very great thing you have shared with us. ...This is very great thing you have shared with us. Now I found enough resources by your tips about this issue, Thank you.Kamagra Oral Jelly Dropshippinghttp://www.mspharma.in/product/265/kamagra-oral-jelly.htmlnoreply@blogger.comtag:blogger.com,1999:blog-6173095375385680490.post-50997219973982719772012-03-19T10:15:02.243-07:002012-03-19T10:15:02.243-07:00Very good point. Time with face to face contact i...Very good point. Time with face to face contact in a non-rushed fashion seems to be rapidly fading as we add patient numbers, charting demands, and very sick complex patients in the hospital setting. Even in the clinic for 15 minutes the other day in California with a family member, I found the doctor spent 80% of the time in front of the computer reviewing and typing in information, 5% of the time gathering new information, 5% of the time doing a remarkable cursory exam, and 10% reviewing the three meds he was prescribing.Jim deMaine, MDhttps://www.blogger.com/profile/15305598245850297381noreply@blogger.comtag:blogger.com,1999:blog-6173095375385680490.post-7850376224280926772012-03-14T23:36:04.931-07:002012-03-14T23:36:04.931-07:00It's reimbursement driven. You spend half an h...It's reimbursement driven. You spend half an hour reassuring ancient Mrs. Goldstein that she can live a good life with her macular degeneration or you send her for whatever imaging can be done. Lots more money in the latter. And much poorer care. I keep cracking up at hospitals cutting nurse/patient ratios and then expecting improved Press Gainey scores because they implemented hourly rounding. With all of our devices the most healing part of the medical paradigm is human caring *coupled with* prudent use of dagnostic equipment and medication. And how can one be prudent if one can't take the time t listen to the patient?SuesquatchRNhttps://www.blogger.com/profile/08430405540498968731noreply@blogger.com